Nasopalatin Cysts: 9 Case Review


Koltuk M. , Baygın M., Gürkan Köseoğlu B.

Turkish Association of Oral and Maxillofacial Surgery 26th International Scientific Congress, Girne, Cyprus (Kktc), 28 April - 02 May 2019, pp.190-191

  • Publication Type: Conference Paper / Summary Text
  • City: Girne
  • Country: Cyprus (Kktc)
  • Page Numbers: pp.190-191

Abstract

Objective: Nasopalatine duct cyst is the most common non-odontogenic developmental cyst.

Nasopalatine duct cysts, which are more common in men than women, usually develop in the

midline of the anterior maxilla at 4-6 decades.It takes its origin from the embryological residues of

the nasopalatine canal.When it drains, it can create a salty taste sensation in the mouth.

Radiograph shows a well-defined, radiolucent, oval or heart-shaped image. Enucleation is preferred

due to low recurrence rate. In this case series, nasopalatine canal cysts were examined in 9

patients (7 male and 2 female) who applied to Istanbul University Department of Oral and

Maxillofacial Surgery.

Case: The ages of patients vary between 34-66. Nasopalatine channel cyst which was

asymptomatic in 2 patients, caused salty water sensation in 2 patients and caused palatine swelling

in 5 patients. Panoramic radiograph showed heart-shaped (7 patients) and oval shaped (2 patients)

radiolucent image. In the oral and radiological examinations, it was found that the related teeth

were devital in 2 patients, the implant was located in the cyst in one patient, one patient was

toothless and the related teeth were vital in 5 patients. The lesions were enucleated and the

patients were followed-up. The age, gender, complaints, radiographic image and the status of the

related teeth are consistent with the literature.

Conclusion: Nasopalatine duct cysts are usually asymptomatic. panoramic radiography as well as

assisted diagnostic methods such as dental volumetric computed tomography, periapical graphy,

vitality test should be used. The definitive diagnosis is determined by histopathological

examination.